Christina Marie Wallace, RPH

NPI #1861708679 in Portland, Oregon

Provider Information

NPI Number: 1861708679
Entity Type: Individual
Name: Christina Marie Wallace, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 31, 2010
Last Updated: Aug 31, 2010

Practice Location

Address: 2829 N LOMBARD ST
City: Portland
State: Oregon
ZIP Code: 97217-6263
Phone: (503) 737-0317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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